2005～2007年我国7省艾滋病综合治疗和关怀工作的比较分析  

Comparison and analysis on performance of HIV/AIDS comprehensive treatment and care among seven provinces in China from 2005 to 2007

作　　者：马丽萍[1] 曾婷婷[2] 张彤[3] 

机构地区：[1]中国疾病预防控制中心,北京100050 [2]北京大学公共卫生学院流行病与卫生统计学系 [3]首都医科大学附属北京佑安医院

出　　处：《中国病原生物学杂志》2011年第4期246-249,F0002,共5页Journal of Pathogen Biology

基　　金：第四轮中国全球基金艾滋病项目(No.CHN-405-G05-H)

摘　　要：目的描述2005-2007年第四轮中国全球基金艾滋病项目（GF4）覆盖的7省项目县艾滋病综合治疗和关怀工作的季度变化趋势和地区间差异。方法对7省艾滋病治疗和关怀工作报表及相关资料进行质量评价，描述针对HIV感染者／艾滋病患者（PLWHA）的抗病毒治疗、抗机会性感染和关怀／支持工作的开展情况，评估并分析其变化趋势和地区差异。结果截至2007年6月，7省接受联合抗逆转录病毒治疗的艾滋病患者共5018人，抗病毒治疗率中位数为87．66％，其中贵州、新疆较低，江西较高（P〈0．05）；7省接受抗机会性感染治疗的PLWHA共13349人，抗机会性感染治疗率中位数为100％；7省接受关怀／支持服务的PLWHA共13780人，关怀／支持服务覆盖率中位数为59．09％，其中湖南、江西较高，广西较低（P〈0．05）；抗病毒治疗率、抗机会性感染治疗率和关怀／支持服务覆盖率均呈现出随时间增长，但增长速度逐渐减慢的特征（P〈0．05）。结论2005-2007年GF4项目7省针对PLWHA的各项治疗、关怀／支持工作进展迅速，覆盖人数及比例不断提高，其中目标人群抗病毒治疗率和抗机会性感染治疗率较高，取得了重要成效，但各项目地区存在关怀／支持服务覆盖率较低及地区工作情况差异显著等问题。Objective To describe the quarter trends and inter-regional differences of HIV/AIDS comprehensive treatment and care in seven project provinces of The Global Fund AIDS China Program Round 4 （GF4） from 2005 to 2007. Methods The quality assessment was conducted on the work reports and the related data of HIV/AIDS treatment and care in 7 provinces. Meanwhile the status was described in the PLWHA anti-viral therapy, anti-opportunistic infections treatment and care / support to evaluate and analyze the trends and regional differences. Results As of June 2007 in 7 provinces there are 5 018 people with HIV/AIDS accepting the antiretroviral therapy, and antiretroviral treatment rate median is 87.66%, of which was lower in Guizhou and Xinjiang, higher in Jiangxi （P〈0.05）. The total 13 349 PLWHAs accepted treatment against opportunistic infections, the median rate of 100%. There are 13 780 PLWHA receiv- ing care and support services, and the median coverage of 59.09%, of which was higher in Hunan and Jiangxi, lower in Guangxi （P〈0. 05）; The rates of antiviral treatment, opportunistic infection treatment and care/support services cover showed growth with the time, but the growth rate gradually slowed down feature （P〈0.05）. Conclusion From 2005 to 2007, the participation in ART, opportunistic infections treatment and care and support services had been growing constantly and rapidly, and the percentage of cover by the ART and treatment of opportunistic infections in the target population was achieving important results, but there were also some problems and challenges, including limited coverage of care and support services as well as the significant different work inter-provincial areas.

关 键 词：艾滋病 联合逆转录抗病毒治疗 抗机会性感染治疗 

分 类 号：R512.91[医药卫生—内科学]